Determinants of LongActing Reversible Contraceptive Method Utilization among Married Women in Assosa Town in Western Ethiopia: A CaseControl Study

Background aim: The prevalence rate of contraceptive use in Ethiopia is 42%; however, only 5% of Ethiopians use the longacting contraceptive methods. This rate is 4.8% in Benishangul Gumuz Region in this country. Regarding this, the present study aimed to assess the determinants of longacting reversible contraceptive method use among married women in Assosa town, Ethiopia. Methods: This communitybased unmatched casecontrol study was conducted on 384 married women from April 26 to May 10, 2016. The study population consisted of the users (case group; n=128) and noneusers (control group; n=256) of one of the longacting methods. Multivariate logistic regression analysis was performed to identify the variables having a significant association. Results: A total of 382 women participated in this study with a response rate of 99.5%. The determinants of longacting contraceptive use were identified as the lack of decisionmaking power (OR=0.29, 95% CI: 0.110.80), poor attitude toward such birth control methods (OR=0.13, 95% CI: 0.060.29), wrong expectation regarding method availability (OR=0.23, 95% CI: 0.070.73), low level of knowledge about longacting contraceptive methods (OR=0.19, 95% CI: 0.080.47), future intention to get pregnant (OR=0.39, 95% CI: 0.180.82), and walking distance of more than 30 min from associated health facilities (OR=0.36, 95% CI: 0.150.85). Conclusion: Women’s decisionmaking power, knowledge and attitude regarding contraceptives, expectation regarding method availability, distance from associated facilities, and intention to get pregnant in the future were identified as the independent predictors of longacting contraceptive method use.